AssessmentBased

Treatment for
Traumatized Children:
A Trauma Assessment
Pathway Model (TAP)
Barbara Ryan, L.C.S.W.
Lisa Conradi, Psy.D.
Chadwick Center for Children and
Families San Diego

4 Components of TAP
1. Assessment
2. Creating a Unique Client
Picture
3. Triage
4. Treatment

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How to form your Clinical

hypothesis
Consider all assessment
feedback
Which family members need
to be included in treatment?
What are the dynamics in the
family?
Family and client buy in
Consider the cause of
distress
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The Trauma Wheel

Relationship Building

Addressing
Maladaptive
Cognitions

Skill Building
&
Psychoeducation

Affect
Regulation

Child
Development

Systemic
Dynamics

Trauma
Integration

Culture

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Trauma Assessment
Pathway Model
(TAP): At a Glance

Initial Screening Process

Triage

Refer out

Assessment:
Clinical Interview and Standardized Measures
Integrate Assessment Information
Form Unique Client Picture
Narrow the Clinical Focus
Select Symptom Domains
Hypotheses/Prioritize

Establish Treatment
Goals
Treatment Pathway
Guides treatment decisions and the use of
the Trauma Wheel

Refer to a specialized
program if needed

Trauma Wheel

Reassess:
Weekly interviews, update goals
Supervision
Follow-up standardized measures

Continue Treatment
Following the Treatment Pathway

Termination

Thank you!

The entire TAP Manual is

available online at:
www.chadwickcenter.org
If you have any questions, please contact
Barbara Ryan, LCSW, (beryan@chsd.org)
or
Lisa Conradi, Psy.D., (lconradi@chsd.org).
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